sesion neuro 4 gpo 5.pptx

7/24/2019 SESION NEURO 4 gpo 5.pptx

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UNIVERSIDAD JUAREZ DEL

ESTADO DE DURANGO

ANA NATALIA BLANCO ROSALESCHRISTIAN EMANUELLE LEAL CUPICH

JOSE LUIS ESPINOZA CORDOBASANDRA PAMELA CHAVEZ

FACULTAD DE MEDICINA Y NUTRICION

SESIONES ANATOMOCLINICAS

8 semestreGrupo A


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HISTORIA CLINICA

Sexo: Femenino Edad: a!o" L#$a% de o%i$en: Cd J#a%e& C'i'#a'#a

L#$a% de %%e"iden(ia: D#%an$o D$o E")ado (i*i+: Ca"ada Re+i$ion: Ca)o+i(a O(#,a(ion: A-o$ada "in e.e%(e% In)e%%o$a)o%io: Di%e()o e Indi%e()o Fe('a de In$%e"o: Fe-%e%o de+ /01 Se%*i(io: Medi(ina In)e%na


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An)e(eden)e" He%edoFami+ia%e"

ABUELOS: a-#e+a ma)e%na 2 a-#eo,a)e%no *i*o" en ABES3 / 4nado" ,o%(a#"a" na)#%a+e"3 Se nie$aen5e%medade" (%oni(ode$ene%a)i*a"

TIOS: Una )ia 4nadaa,a%en)emen)e,o% T#mo% Ce%e-%a+ no e",e(i4(ado

PADRES: Vi*o" mad%e ABES3 Mi$%a!aen e+ ,ad%e

HIJOS: T%e" 'i.o" en ABES


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An)e(eden)e" Pe%"ona+e" NoPa)o+o$i(o"

Ha-i)a (a"a )i,o #%-ana (on )odo" +o""e%*i(io"3 Sin 'a(inamien)o ni,%omi"(#idad3 A+imen)a(ion n#enaen (an)idad 2 (a+idad6 "in ++e*a% 2#na die)a e",e(i4(a3 B#ena 'i$ien3A()i*idad Seden)a%ia


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An)e(eden)e" Pe%"ona+e"Pa)o+o$i(o"

T%a#ma)i"mo C%aneo(e5a+i(o a +aedad de 10 a!o" de edad "in ,e%didade+ e")ado de a+e%)a3 A,a%i(ion dee,i"odio" -%#"(o" de *e%)i$o en-%e*e d#%a(ion ,%o*o(ado" ,o%(am-io" e ,o"i(ion a +a edad de 7

a!o"6 +o" (#a+e" %emi)ie%on en 5o%maex,on)anea3 Nie$a an)e(eden)e" dea+(o'o+i"mo" o )a-a8#i"mo3


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Pade(imien)o A()#a+

Ce5a+ea Bi5%on)a+ E,i"odi(a 8#e ini(ion a +a edad de 19a!o" de (a%a()e% ,#+"a)i+6 a(om,a!ada de na#"ea"2*omi)o" +a (#a+ (edia (on a(ido a(e)i+"a+i(i+i(o 2 1 'o%ade "#e!o: ini(ia+men)e3 La" (%i"i" de (e5a+ea

(on)in#a%on ,o% +o 8#e a(#dio (on "# medi(o 5ami+ia%8#ien ,%e"(%i-io (a5eina 2 e%$o)amina / )a-+e)a"6adema" de ,a%a(e)amo+ 700 m$" en (a"o de 8#e "e,%e"en)a%an +o" do+o%e" de (a-e&a +o" (#a+e" "e,%e"en)a-an a,%oximadamen)e (ada "emana

ini(ia+men)e '#-o me.o%ia ,e%o ,o")e%io%men)e "e'i(ie%on (ada *e& ma" 5%e(#en)e" %e4%iendo do+o%'o+o(%aneano de (a%a()e% o,%e"i*o ,%a()i(amen)e (a"i)odo" +o" dia" de"de 'a(e ma" de me"e"3


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Pade(imien)o A()#a+

En o(a"ione" %e4e%e (%i"i" de (e5a+e in)en"a" ,%e(edida"de *e%)i$o o-.e)i*o %o)a)o%io (on #na d#%a(ion a,%oximadade 10 min "e$#ido" de e"(o)oma" %e5e%ido" (omo +#(e"-%i++an)e" en am-o" o.o" o.o" en (am,o" na"a+e" 2

)em,o%a+e"6 +a (e5a+ea $ene%a+men)e "e a"o(ia de na#"ea"2 (a"i "em,%e "e a(om,a!a de "ono5o-ia 2 5o)o5o-ia3 Po% +o 8#e "e en*io a+ "e%*i(io de #%$en(ia" 2 di('o

"e%*i(io +o in$%e"o ,o% (e5a+ea 2 *e%)i$o en e")#dio 2 di('o"e%*i(io +o in$%e"o ,o% (e5a+ea 2 *e%)i$o en e")#dio3 A "#

in$%e"o E+ Examen Gene%a+6 Ne#%o+o$i(o6 O)o+o$i(o 2Ne#%oo)o+o$i(o 5#e%on no%ma+e"3 No "e %ea+i&o e")#dio"de Ga-ine)e6 "e ,%e"(%i-io )%a)amien)o ,o% dia" 2 "ea$%e$o a +a (on"#+)a ex)e%na3


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La-o%a)o%io

G+#(o"a ; ? 93/

Na

197 H- 130

Le#(o" >30> Ne#)


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SINTOMAS

10 a!o"3 T%a#ma)i"mo C%aneo(e5a+i(o "in ,e%dida de+ e")ado de a+e%)a6e,i"odio" de *e%)i$o

19 a!o" de edad3 Ce5a+ea e,i"odi(a6 na#"ea" 2 *omi)o3 Cedia (on a(idoa(e)i+"a+i(i+i(o6 1 '% de "#e!o

Ca5eina 2 e%$o)amina / )a-+e)a"6 ,a%a(e)amo+ 700 m$

Do+o% de (a-e&a (ada "emana

Do+o% Ho+o(%aneano6 o,%e"i*o )odo" +o" dia"6 ma" de me"e"

Ce5a+ea in)en"a6 *e%)i$o 10 min d#%a(ion6 e"(o)oma" (am,o" na"a+e" 2)em,o%a+e"6 na#"ea"6 "ono5o-ia 2 5o)o5o-ia


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La-o%a)o%ioG+#(o"a;< m$=D+

U%ea /03

C%ea)inina

03;C+ 10>

? 93/

Na 197

H- 130

Le#(o">30>

Ne#)


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SESI

ON

CEFALEA


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TIPOS DE CEFALEA

CEFALEAS PRIMARIAS Mi$%a!a Ce5a+ea )en"iona+ Ce5a+ea en %a(imo" 2 o)%a" (e5a+a$ia")%i$minoa#)onmi(a"

O)%a" ,#n&an)e ,%ima%ia3 )#"$ena,%ima%ia ,o% e.e%(i(io ,%ima%ia3a"o(iada a +a a()i*idad "ex#a+ ,%ima%ia,%eo%$"mi(a6 o%$"mi(a ',ni(a3 en

e")a++ido )'#nde%(+a, ,%ima%ia3Hemi(%nea (on)in#a3 (%ni(a de"dee+ ini(io

CEFALEAS SECUNDARIAST%a#maT%a")o%no *a"(#+a%T%a")o%no in)%a(%anea+ no *a"(#+a% U"o6 a-#"o o "#,%e"in de "#")an(ia" In5e((inT%a")o%no de +a 'omeo")a"i"T%a")o%no de e")%#()#%a" (%anea+e" o5a(ia+e"

T%a")o%no P"i8#ia)%i(o Ne#%a+$ia" (%anea+e" 2 (a#"a" (en)%a+e"de do+o% 5a(ia+


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TIPOS DE MIGRAA

131 Mi$%a!a "in a#%a3

13/ Mi$%a!a (on a#%a3 13/31 A#%a ),i(a (on (e5a+ea mi$%a!o"a3 13/3/ A#%a ),i(a (on (e5a+ea no

mi$%a!o"a3 13/3 A#%a ),i(a "in (e5a+ea3 13/39 Mi$%a!a 'emi,+.i(a 5ami+ia%3 13/37 Mi$%a!a 'emi,+.i(a e",o%di(a3 13/3 Mi$%a!a de )i,o -a"i+a%3


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13 Snd%ome" ,e%idi(o" en +a in5an(ia 8#e 5%e(#en)emen)e "on,%e(#%"o%e" de mi$%a!a3

1331 Vmi)o" ((+i(o"3 133/ Mi$%a!a a-domina+3 133 V%)i$o ,a%ox")i(o -eni$no de +a in5an(ia3

139 Mi$%a!a %e)iniana3

137 Com,+i(a(ione" de +a mi$%a!a3 13731 Mi$%a!a (%ni(a3 1373/ E"d)a#" ma+ mi$%a!o"o3 1373 A#%a ,e%"i")en)e "in in5a%)o3 13739 In5a%)o mi$%a!o"o3 13737 C%i"i" e,i+,)i(a de"en(adenada ,o% mi$%a!a3

13 Mi$%a!a ,%o-a-+e3 1331 Mi$%a!a "in a#%a ,%o-a-+e3 133/ Mi$%a!a (on a#%a ,%o-a-+e3 1337 Mi$%a!a (%ni(a ,%o-a-+e3


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DIAGNOSTICOSDIFERENCIALES


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Dia$no")i(o" Di5e%en(ia+e"

Ce5a+ea

(%oni(a

Mi$%a!a "ina#%a

Ce5a+eaTen"ion

a+


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CEFALEA CRONICA DIARIA


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Dia$no")i(o Di5e%en(ia+

E",on)neamen)e)%an"5o%mada3 Son+o" en5e%mo" 8#e(omen&a%on (on(%i"i" mi$%a!o"a"),i(a" 'a(e *a%io"

a!o" 2 +#e$o6e",on)neamen)e

(am-ia%on(+ni(amen)e6 "e

)o%na%on m"5%e(#en)e" 2

a,a%e(iendo(a%a()e%")i(a" de(e5a+ea" )en"iona+e"3

- Ind#(ida ,o%do%$a"3 En5e%mo"

8#e e*o+#(iona%oni$#a+ 8#e en +a"e",on)neamen)e

)%an"5o%mada"6 ,e%o++e$a%on a e")a

"i)#a(in +#e$o de #ne+e*ado (on"#mo de

medi(amen)o"ana+$"i(o" 2

e%$o)amni(o"3

Ini(io "#-a$#do6de"de mo+e")ia +e*e3P%o$%e"in +en)a en

da""emana"3Lo(a+i&a(in -i+a)e%a+

5%on)oo((i,i)a+ #'o+o(%anea+3In)en"idad

mode%ada3 Ce5a+ea(on)in#a m" in)en"a

,o% +a" ma!ana"3m" de 17 da" a+

me" a"o(iada o no a+a-#"o deana+$"i(o"3

Lo" mode%ado"in)e%4e%en (on +a*ida dia%ia6 ,e%o e+

,a(ien)e ,#ede(on)in#a% %ea+i&ando

"#" a()i*idade" 2)am-in ,#eden "e%

a#)o+imi)ado"


Heada('e C+a""i4(a)ion Commi))ee o5 )'e In)e%na)iona+ Heada('e So(ie)23 C+a""i4(a)ion

and dia$no")i( (%i)e%ia 5o% 'eada('e di"o%de%"6 (%ania+ ne#%a+$ia" and 5a(ia+ ,ain3Ce,'a+a+$ia 1>;;K ;S#,,+3 3


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Dia$no")i(o" Di5e%en(ia+e"Fo)o,"ia

Vi"ion 2 "onido" di")o%"ionado"

Hemi,a%e"ia

E"(o)oma"

A+#(ina(ione"

Pa%e")e"ia"

A5a"ia

Sin(o,e

Ve%)i$o

A)axia


Heada('e C+a""i4(a)ion Commi))ee o5 )'e In)e%na)iona+ Heada('e So(ie)23 C+a""i4(a)ion and

dia$no")i( (%i)e%ia 5o% 'eada('e di"o%de%"6 (%ania+ ne#%a+$ia" and 5a(ia+ ,ain3 Ce,'a+a+$ia1>;;K ;S#,,+3 3


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CEFALEA TENSIONAL


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F%e(#an(ia ma2o% ,o% me" 6 ,o% ma" de me"e" in(+#2endo(%i)e%io" B a+ D

B3 A+ meno" / de +a" "i$#ien)e" (a%a()e%i")i(a": Do+o% )i,oo,%e"i*o Le*e a mode%ada in)en"idad Lo(a+i&a(ion -i+a)e%a+ Noa#men)a (on +a a()i*idad 4"i(a de %#)ina

/ de +a" "i$#ien)e" (a%a()e%i")i(a": No *omi)o6 No ma" de / de+a" "i$ Na#"ea" Fo)o5o-ia Fono5o-ia

A+ meno" #na de +a" "i$ (a%a()e%i")i(a": Hi")o%ia (+ini(a6examene" 4"i(o" 2 ne#%o"+o$i(o" 8#e "#$ie%an (a#"a "e(#nda%ia

CEFALEA TENSIONAL

CRITERIOS IHS /009


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2.. CEFALEA

DE TENSI"NE#IS"DICAINFRECUENTE$a+

meno" %e,i"odio"3====

F%e(#en(ia1 da=me" 1/=a!oK d#%a(in

en)%e 0 min3 2 < da"3

2.2. CEFALEA DETENSI"N E#IS"DICA

FRECUENTE$A+

meno" %e,i"odio"3F%e(#en(ia 1da=me" 2 17 d=me"d#%an)e a+ meno"

me"e"K d#%a(in en)%e0 2 < da"3

Coexi")en(ia5%e(#en)e (on mi$%a!a"in a#%a3

2.&. CEFALEADE TENSI"NCR"NICA$Ce5a+ea

= 17 d=me"6 = m3 P#ede "e%

(on)in#a3

CEFALEA TENSIONAL


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MIGRA'A CON AURA


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Dia$no")i(o" Di5e%en(ia+e" A3 A+ meno" / a)a8#e" 8#e (#m,+an e+ (%i)e%io de a#%a B: B3 "n)oma" de d4(i) ne#%o+$i(o 8#e (#m,+en: A+ meno" #no de ,#eden (om-ina%"e en #n mi"mo a)a8#e: 13 Sn)oma" *i"#a+e" (om,+e)amen)e %e*e%"i-+e"6 8#e ,#eden "e%

)an)o ,o"i)i*o" +#(e" ,a%,adean)e"6 man('a"6 +nea" 2 o)%o" (omone$a)i*o" *3$%36 'emiano,"ia6 ,%dida de *i"in3

/3 Sn)oma" "en"i)i*o" %e*e%"i-+e"6 )an)o ,o"i)i*o" (omo ne$a)i*o"3 3 T%a")o%no de+ +en$#a.e (om,+e)amen)e %e*e%"i-+e3 Q A+ meno" do" de:

13 Sn)oma" *i"#a+e" 'omnimo" 2=o "n)oma" "en"i)i*o" #ni+a)e%a+e"3 /3 E+ "n)oma de+ a#%a "e de"a%%o++a de 5o%ma $%ad#a+ en 7 min#)o" o

m"K "i "on *a%io"6 "e "#(eden #no" a o)%o" a +o +a%$o de 7 min3 o m"

+a "e(#en(ia 'a-i)#a+ e" ini(ia+men)e "n)oma" *i"#a+e"6 de",#""en"i)i*o" 2 4na+men)e )%a")o%no de+ +en$#a.e3 3 Lo" "n)oma" d#%an meno" de 1 'o%a ,a%a (ada "n)oma

(on"ide%ado ai"+adamen)e3 C3 No a)%i-#i-+e" a o)%o )%a")o%no dia$n")i(o de ex(+#"in3

CRITERIOS IHS /009

MIGRAA CON AURA


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Dia$no")i(o" Di5e%en(ia+e"TRATAMIENTO PROFILACTICO mono)e%a,ia2 d#%an)e me"e":P%o,%ano+o+ 9010m$=da3Nado+o+ 901/0 m$=da3F+#na%i&ina 7m$=da3Ni(a%di,ino 90 m$=da3Ami)%i,)i+ina/7


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DIAGNOSTICO DEFINITI(O


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a E",on)neamen)e )%an"5o%mada3 Son +o"en5e%mo" 8#e (omen&a%on (on (%i"i" mi$%a!o"a"),i(a" 'a(e *a%io" a!o" 2 +#e$o6e",on)neamen)e (am-ia%on (+ni(amen)e6 "e

)o%na%on m" 5%e(#en)e" 2 a,a%e(iendo(a%a()e%")i(a" de (e5a+ea" )en"iona+e"3

- Ind#(ida ,o% do%$a"3 En5e%mo" 8#ee*o+#(iona%on i$#a+ 8#e en +a" e",on)neamen)e

)%an"5o%mada"6 ,e%o ++e$a%on a e")a "i)#a(in+#e$o de #n e+e*ado (on"#mo de medi(amen)o"ana+$"i(o" 2 e%$o)amni(o"3

CEFALEA CRONICA DIARIA TIPO

MIGRAA TRANSFORMADORA


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Dia$no")i(o De4ni)i*oCEFALEA CRONICA DIARIA TIPO MIGRAA

TRANSFORMADORA


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sesion neuro 4 gpo 5.pptx

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